SaAm Acupuncture Sambu Acupuncture The Traditional Korean Acupuncture

Sa-Am Acupuncture & Sambu Acupuncture The Traditional Korean Acupuncture Type.

An old saying in Korean traditional medicine § Acupuncture, first § Moxa, second § Medication, third

Contents 1. Introduction to Sa-Am Acupuncture 2. Hypothesis on Eight Trigrams and Eight Meridians 3. Introduction to Sambu Acupuncture 4. Principles of Sambu Acupuncture 5. Syndrome Differentiation 6. Summary

Three categories of acupuncture v Body Acupuncture v Ashi Acupuncture v Principle Acupuncture

Sa-Am Acupuncture Sa-Am Zen monk and acupuncturist Chosun Dynasty, Korea “Observe ups and downs of seven emotions”

Medicine and Mind Dr. Kim, Hong Kyung “Control the mind first to heal diseases” Screenshot image of Dr. Kim’s TV lecture

Sa-Am Acupuncture What is Sa-Am acupuncture? v Founded by Sa-Am, 450 years ago in Korea � Sa-Am, a zen master and acupuncturist in Chosun dynasty, Korea v Principle acupuncture based on yin-yang and five element theory � Point selection according to the principles v Meridian is the route of mind and emotions � Acupuncture can affect the mind as well as the body v Origin of five element acupuncture v Effective and safe � Use mainly five shu points on the limbs

Sa-Am Acupuncture Principles of Sa-Am acupuncture v For deficiency, tonify the mother; for excess, reduce the son � � The Classic of Difficulties, chapter 69 Generating cycle(相生), controlling cycle(相剋) v For deficiency, reduce the control; for excess, tonify the control � � Unique to Sa-Am acupuncture Controlling cycle Generating cycle v Five elemental properties of channels � Mother Fire Grandmother Spleen channel: earth, heart channel: fire Wood Son Earth v Five elemental properties of shu points � SP 1: wood, SP 2: fire, SP 3: earth, SP 5: metal, SP 9: water controlling cycle Water Metal

• General principles of Saam acupuncture – For deficiency, supplement the mother and drain the suppressor. (虛則補其母, 虛則抑 其官) • Classic of Difficult Issues(難經) chapter 69 • Engendering relationships(相生) • Traditional five phase acupuncture methods – For excess, drain the son and supplement the suppressed (實則瀉其子, 實則補其讎) • Restraining relationships(相剋) • Unique in Saam acupuncture method. – Inter-meridian relationships are also considered. • Generally 4 points are used in Saam acupuncture – 2 points from the affected meridian(自經) – 2 points from other related meridians(他經) – The 2 points are selected either • by engendering relationships(相生) • or by Restraining relationships(相剋) of Five Phase characteristics of the five transport points.

Sa-Am Acupuncture In the case of spleen channel deficiency - Tonification formula 1. Tonify mother points § HT 8 (少府): fire point of fire channel HT 9 -wood, HT 8 -fire, HT 7 -earth, HT 4 -metal, HT 3 -water § SP 1 -wood, SP 2 -fire, SP 3 -earth, SP 5 -metal, SP 9 -water 2. Reduce control points § Mother SP 2 (大都): fire point of spleen channel Fire Control Wood Self Earth LR 1 (大敦): wood point of wood channel LR 1 -wood, LR 2 -fire, LR 3 -earth, LR 4 -metal, LR 8 -water § SP 1 (隱白): wood point of spleen channel SP 1 -wood, SP 2 -fire, SP 3 -earth, SP 5 -metal, SP 9 -water Water Metal

HT 8 (少府): fire point of fire channel

SP 2 (大都): fire point of spleen channel

LR 1 (大敦): wood point of wood channel

SP 1 (隱白): wood point of spleen channel

Sa-Am Acupuncture In the case of liver channel excess – Sedation formula 1. Reduce son points § HT 8 (少府): fire point of fire channel HT 9 -wood, HT 8 -fire, HT 7 -earth, HT 4 -metal, HT 3 -water § Son LR 2 (行間): fire point of liver channel Fire LR 1 -wood, LR 2 -fire, LR 3 -earth, LR 4 -metal, LR 8 -water 2. Tonify control points § Self Wood Earth LU 8 (經渠): metal point of metal channel LU 11 -wood, LU 10 -fire, LU 9 -earth, LU 8 -metal, LU 5 -water § LR 4 (中封): metal point of liver channel LR 1 -wood, LR 2 -fire, LR 3 -earth, LR 4 -metal, LR 8 -water Water Metal Control

HT 8 (少府): fire point of fire channel

§ LR 2 (行間): fire point of liver channel

§ LU 8 (經渠): metal point of metal channel

§ LR 4 (中封): metal point of liver channel

–So, The four points are Sa am acupuncture points in case of spleen meridian deficiency. Deficiency conditions are treated by using the following methods Tonify the horary point on the mother organ's channel. Horary means that the point's element and the channel's element are the same, for example, the fire point on the fire channel. Tonify the mother organ's element point on the affected channel. Sedate the horary point on the "controlling" organ's channel. Sedate the controlling organ's element point on the affected organ. In saam acupuncture practice , when you want to tonify the points, you should place the needle’s tip at a 0~ 45° angle with the meridian flow (in the forward direction of the meridian flow), with rotation clockwise or to the right side 9 times, whereas you should place the needle’s tip at a 0~ 45° angle against the meridian flow (in the reverse or in the opposite direction of the meridian flow), with rotation counter-clockwise or the left side 6 times if you want to sedate the points.

Basic Formulae of Sa-Am Acupuncture Channe l Tonification Formulae Tonify Reduce Sedation Formulae Reduce Tonify LU SP 3 LU 9 HT 8 LU 10 KI 10 LU 5 HT 8 LU 10 LI ST 36 LI 11 SI 5 LI 5 BL 66 LI 2 SI 5 LI 5 ST SI 5 ST 41 GB 41 ST 43 LI 1 ST 45 GB 41 ST 43 SP HT 8 SP 2 LR 1 SP 1 LU 8 SP 5 LR 1 SP 1 HT LR 1 HT 9 KI 10 HT 3 SP 3 HT 7 KI 10 HT 3 SI GB 41 SI 3 BL 66 SI 2 ST 36 SI 8 BL 66 SI 2 BL LI 1 BL 67 ST 36 BL 40 GB 41 BL 65 ST 36 BL 40 KI LU 8 KI 7 SP 3 KI 3 LR 1 KI 1 SP 3 KI 3 PC LR 1 PC 9 KI 10 PC 3 SP 3 PC 7 KI 10 PC 3 TE GB 41 TE 3 BL 66 TE 2 ST 36 TE 10 BL 66 TE 2 GB BL 66 GB 43 LI 1 GB 44 SI 5 GB 38 LI 1 GB 44 LR KI 10 LR 8 LU 8 LR 4 HT 8 LR 2 LU 8 LR 4

The book of Changes (Yi Jing) Great Void (無極) Tai ji (太極) Yin Yang Yin-Yang (陰陽) Tai Yin Shao Yang Shao Yin Tai Yang 4 Phenomena (四象) 8 Trigrams (八卦) Earth 坤 Mountain 艮 Water 坎 Wind 巽 Thunder 震 Fire 離 Marsh 兌 Heaven 乾

The book of Changes (Yi Jing)

The book of Changes (Yi Jing) Qian Heaven Yang Kan Water Kun Earth Li Fire Yin [Korean national flag] � Tai ji (yin and yang) � 4 Trigrams : Heaven, earth, fire, water

The book of Changes (Yi Jing) Eight Trigrams Number 8 7 6 5 4 3 2 1 Name 坤 (kun) 艮 (gen) 坎 (kan) 巽 (xun) 震 (zhen) 離 (li) 兌 (dui) 乾 (qian) 地 (di) 山 (shan) 水 (shui) 風 (feng) 雷 (lei) 火 (hua) 澤 (ze) 天 (tian) Earth Mountain Water Wind Thunder Fire Marsh Heaven Natural Phenomena

Relationship of Eight Trigrams to Meridians - Hypothesis Eight Trigrams Number 8 7 6 5 4 3 2 1 Name 坤 (kun) 艮 (gen) 坎 (kan) 巽 (xun) 震 (zhen) 離 (li) 兌 (dui) 乾 (qian) 地 (di) 山 (shan) 水 (shui) 風 (feng) 雷 (lei) 火 (hua) 澤 (ze) 天 (tian) Earth Mountain Water Wind Thunder Fire Marsh Heaven Ren (任脈) Yang ming (陽明) Tai yang (太陽) Jue yin (厥陰) Shao yang (少陽) Shao yin (少陰) Tai yin (太陰) Du (督脈) Natural Phenomena Meridians Mind / Emotions Conception Trust 恨 (lament) 選 (select) 悅 (delight) Dissatisfacti Carefulness on Fear Poverty Power Arrogance Passion Inferiority Sexuality Pleasure Satisfaction Greed Six Climatic Qi Dryness Cold Wind Ministerial Fire Monarch Fire Dampness Five phase Metal Water Wood Fire Earth Favor pungent salty sour bitter sweet Smell fishy rotten goatish burning fragrant Governing Doubt

Relationship of Eight Trigrams to Meridians - Hypothesis - 7 2 Gen (艮) Dui (兌) 心 + 艮 = 恨 (Lament) 心 + 兌 = 悅(Delight) Mountain Marsh Bright yang (Yangming) Greater Yin (Taiyin) Dryness Dampness Metal Earth Dissatisfaction, poverty Satisfaction, rich, greed

8 Trigrams.

Buddha’s saying “That exists because this exists. That arises because this arises. That ceases to exist because this has ceased to exist. As this falls away, so does that. ”

Relationship of Eight Trigrams to Meridians - Hypothesis Trigram No Name Phenomena Related Meridian Mind 1 Qian (乾) Heaven Governing vessel Governing, doubt 2 Dui (兌) Marsh Tai yin meridian Satisfaction, greed 3 Li (離) Fire Shao yin meridian Sexuality, pleasure 4 Zhen (震) Thunder Shao yang meridian Inferiority, passion 5 Xun (巽) Wind Jue yin meridian Power, arrogance 6 Kan (坎) Water Tai yang meridian Fear, carefulness 7 Gen (艮) Mountain Yang ming meridian Dissatisfaction 8 Kun (坤) Earth Conception vessel Conception, trust Eight trigrams and meridians imply the eight states of the mind

Sambu Acupuncture v Phases of five shu points Every shu point has three seats for five elements LU 11 : Jing point of Hand Taiyin Lung Channel (Metal, Earth, Wood) LI 2 : Ying point of Hand Yangming Large Intestine Channel (Metal, Water) 1. Organ 3. Element of Shu point 2. Six Qi Points Yin Yang Taiyang Water LR / GB Wood Jing/well Wood Metal Yangming Metal HT / SI Fire Ying/spring Fire Water Shaoyang Fire SP / ST Earth Shu/stream Earth Wood Taiyin Earth LU / LI Metal Jing/river Metal Fire Shaoyin Fire KI / BL Water He/sea Water Earth Jueyin Wood PC / TE Fire

Sambu Acupuncture v Three categories of five shu points Point Category Phase Examples No of Points LU 11 (Metal, Earth, Wood) Sambu (三符) Three elements ST 44 (Earth, Metal, Water) 18 GB 44 (Wood, Fire, Metal) LI 2 (Metal, Water) Yibu (二符) Two elements PC 9 (Fire, Wood) 36 ST 36 (Earth, Metal, Earth) HT 8 (Fire, Fire) Chunbu (天府) One element SP 3 (Earth, Earth) BL 66 (Water, Water) 6

Sambu Acupuncture v How to make balance? Fire Wood Earth Water Metal

Sambu Acupuncture v Principles of Sambu Acupuncture • Restore Balance of the yin-yang and five elements. • Constitution examined from five elemental point of view • Identify two excessive phases of the patient, and tonify the relatively deficient three phases. e. g. If wood and fire are in excess, then tonify LU 5(Metal, Earth, Water) and ST 44(Earth, Metal, Water) • Use sambu points.

Sambu Acupuncture v 18 sambu points Phase Use LU 11 ST 43 Wood, Earth, Metal Water & Fire in excess LU 10 ST 41 Fire, Earth, Metal Wood & Water in excess LU 5 ST 44 Earth, Metal, Water Wood & Fire in excess GB 34 PC 7 Wood, Fire, Earth Metal & Water in excess GB 44 PC 5 Wood, Fire, Metal Earth & Water in excess GB 43 PC 3 Wood, Fire, Water Earth & Metal in excess KI 1 SI 3 Wood, Fire, Water Earth & Metal in excess KI 3 SI 8 Fire, Earth, Water Wood & Metal in excess KI 7 SI 1 Fire, Metal, Water Wood & Earth in excess When fire & earth, or fire & metal is in excess, utilize yibu points.

LU 11 (少商), ST 43 (陷谷) Wood, earth, and metal are tonified when water and fire are in excess

LU 5 (尺澤), ST 44 (內庭) Earth, metal and water are tonified when wood and fire are in excess

LU 10 (魚際), ST 41 (解谿) Fire, earth, and metal are tonified when wood and water are in excess

GB 34 (陽陵泉), PC 7 (大陵) Wood, fire and earth are tonified when metal and water are in excess

GB 44 (竅陰), PC 5 (間使) Wood, fire and metal are tonified when earth and water are in excess

GB 43(俠谿), PC 3(曲澤) Wood, fire and water are tonified when earth and metal are in excess

KI 1(湧泉), SI 3(後谿) Wood, fire and water are tonified when earth and metal are in excess

KI 3(太谿) SI 8(小海) Fire, earth and water are tonified when wood and metal are in excess

KI 7(復溜) SI 1(少澤) Fire, metal and water are tonified when wood and earth are in excess

Sambu Acupuncture v Syndrome differentiation

Sambu Acupuncture v Syndrome Differentiation l Pulse � Wood � Fire is 弦而急(wiry and tense) is 浮大而散(superficial, large and dissipated) � Earth is 緩而大(moderate and large pulse) � Metal is 浮澁(floating rough and short) � Water is 沈濡而滑(deep soggy and slippery)

Sambu Acupuncture v Syndrome Differentiation l Physical Constitution (cold, heat, thin, plump) �Cold syndrome: cold limbs, aversion to cold, pale complexion, absence of thirst, preference to hot drinking, clear plenty of urine, loose stool, pale tongue, slow pulse �Heat syndrome: fever, thirst, preference to cold drinks, red complexion, smelly yellow sticky or dry stool, yellow and scanty urine, constipation, red tongue, rapid pulse

Sambu Acupuncture v Syndrome Differentiation l Mind & Emotions - Anger) � 木-怒(Wood � 火-喜(Fire - Joy) � 土-思(Earth – Thought, Anxiety) � 金-憂(Metal - Grief) � 水-恐(Water - Fear)

Sambu Acupuncture v Syndrome Differentiation l Complexion �Color of the face � Blue, red, yellow, white(pale) and black(dark) � (wood, fire, earth, metal, water)

Sambu Acupuncture v Syndrome Differentiation �After examination of the patient �Two excessive phases are identified. �Balance the five phases by tonifying the relevant sambu points �Re-examination on follow-up visit.

Sambu Acupuncture v Summary of Sambu Acupuncture 1. Based on the basic principles of Korean medicine. 2. Differential diagnosis includes pulse, constitution, personality, complexion and somatotype analysis 3. Five phase constitutional approach rather than symptoms 4. Less side-effects, Suitable for complex diseases 5. Five shu points are used to restore the balance of five phases

Yin-Yang Rehabilitation ● Circulation of yin & yang – Keep the head cool and lower abdomen warm – The fundamental basis of the vital qi circulation. ● Somatotype – Obese or plump – Skinny or thin ● Water and food – Yin foods: Sweet, sour, greasy, and slippery foods – Yang foods: hot and spicy, and dry foods

Shaeng-Shuk-Tang (生熟湯) �Pour hot water first, and pour cold water afterwards. Drink it right away. �Relieve vomiting and diarrhoea. �Shaeng Shuk Tang for prevention of disease. �Shaeng Shuk Tang for healthy life. � in the book of Dong Ui Bo Gam.

Balance of Yin & Yang �Bath �Soak the lower body in the warm water �Keep the head cool and lower abdomen warm �Vital circulation of yin-yang qi. �Air conditioning at home and work �Keep the air cool and the floor warm

Balance of Yin & Yang �Exercise, Colors, Music �Yin-yang should be balanced even when it comes to exercise, choice of colors and music. �A person of yin is recommended to take up more dynamic exercise, brighter colors, and fast and hightoned music. �A person of yang should choose slower exercises, darker colors, and slow and low-toned music.

Atmospheric Influence of 2010 • 2010 is Year of gen yin(庚寅) – Excessive Metal phase and Ministerial Fire • Those who are thin and hot (Metal and Fire constitution) – Should take good care of oneself • Recommended points for tonification to keep balanced – BL 40 (委中, 2 Water + 1 Earth) – SP 9 (陰陵泉, 2 Earth + 1 Water)

Atmospheric Influence of 2014 • 2014 is Year of Gabo(甲午) – Earth phase and Excessive Fire • Those who are obese and hot (Earth and Fire constitution) – Should take good care of oneself • Recommended points for tonification to keep balanced – LI 2( Metal + Water) – BL 67( Metal + Water+Water)

淸肝解鬱湯 (Liver Clearing and Stagnation Releasing Decoction) I often prescribe the following herb recipe for patients with the history of cancer. 當歸 白朮 3. 75 g 貝母 赤茯苓 白芍藥 熟地黃 山梔 2. 625 g 人參 柴胡 牧丹皮 陳皮 川芎 甘草 1. 875 g Thank you